Developing an Automated Registry (Autoregistry) of Spine Surgery Using Natural Language Processing and Health System Scale Databases.

Journal: Neurosurgery
Published Date: Jun 22, 2023

Abstract

BACKGROUND AND OBJECTIVES: Clinical registries are critical for modern surgery and underpin outcomes research, device monitoring, and trial development. However, existing approaches to registry construction are labor-intensive, costly, and prone to manual error. Natural language processing techniques combined with electronic health record (EHR) data sets can theoretically automate the construction and maintenance of registries. Our aim was to automate the generation of a spine surgery registry at an academic medical center using regular expression (regex) classifiers developed by neurosurgeons to combine domain expertise with interpretable algorithms.

Authors

  • Alexander T M Cheung
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • David B Kurland
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • Sean Neifert
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • Nataniel Mandelberg
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • Mustafa Nasir-Moin
    Department of Biomedical Data Science, Geisel School of Medicine, Hanover, New Hampshire.
  • Ilya Laufer
    Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, New York.
  • Donato Pacione
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • Darryl Lau
    Department of Neurological Surgery, University of California, San Francisco, 400 Parnassus Avenue, A850, San Francisco, CA, 94143, USA.
  • Anthony K Frempong-Boadu
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • Douglas Kondziolka
    Department of Neurosurgery, New York University Langone Medical Center, New York City, NY, USA.
  • John G Golfinos
    Department of Neurosurgery, NYU Langone Health, New York , New York , USA.
  • Eric Karl Oermann
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.

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